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Development and validation of a tool to assess the rural neighborhood environment for obesity in Korean adults

Authors
 Bongjeong Kim  ;  Gwang Suk Kim  ;  Hye Sun Hyun 
Citation
 PUBLIC HEALTH NURSING, Vol.36(5) : 752-762, 2019 
Journal Title
PUBLIC HEALTH NURSING
ISSN
 0737-1209 
Issue Date
2019
Keywords
Korea ; environment ; obesity ; reliability and validity ; rural adults
Abstract
OBJECTIVES: This study aimed to develop and validate a tool that assesses the perceived neighborhood environments influencing obesity development among rural adults in Korea.

DESIGN AND SAMPLES: Qualitative and quantitative methods were used. Twenty-one adults participated in focus group interviews. Subsequently, two independent surveys were conducted with rural adults aged 19-65.

MEASUREMENTS: Literature review and focus group interviews were used to generate initial items. An expert's panel evaluation established content validity for these items and pilot testing of the draft tool was performed. Explanatory (n = 328) and confirmatory factor analyses (n = 1,070) were used to establish construct validity, and internal consistency and test-retest reliability were calculated (n = 88).

RESULTS: The new tool consisting of 37 items was developed and validated. Confirmatory factor analysis revealed an eight-subscale structure (χ2 = 3,738.1, GFI = 0.831, SRMR = 0.060, RMSEA = 0.070). The tool showed moderate test-retest reliability (ICC = 0.519-0.775) and good internal consistency except for Social Influence on Healthy Eating (Cronbach's α = 0.612).

CONCLUSIONS: The Rural Neighborhood Environment Assessment for Obesity tool might be a valid and reliable instrument for public health practitioners to assess complex social and physical environmental factors related to obesity.
Full Text
https://onlinelibrary.wiley.com/doi/full/10.1111/phn.12621
DOI
10.1111/phn.12621
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Gwang Suk(김광숙) ORCID logo https://orcid.org/0000-0001-9823-6107
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/173146
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